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泰国COVID-19疫情对中风入院的影响:在国家数据库上进行了一项准实验性,生态研究

Kannikar Kongbunkiat^1,2, Donlagon Jumparway³, Nisa Vorasoot^1,2

¹Division of Neurology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Infection ecology & epidemiology

|October 26, 2023

概括

由于COVID-19的爆发,泰国的血栓性和出血性中风病例显著减少. 在大流行之前,中风发病率一直在增加,但疫情改变了这些趋势.

科学领域:

流行病学流行病学
公共卫生公共卫生
神经学神经学

背景情况:

脑卒中是全球死亡和残疾的主要原因.
了解全球卫生危机对非传染性疾病入院的影响,对于医疗保健规划至关重要.
COVID-19 流行病与各种疾病的医疗保健利用情况的变化有关.

研究的目的:

评估COVID-19疫情对泰国中风病例的影响.
分析COVID-19爆发前后中风亚型的趋势.
评估COVID-19疫情对中风发病率的影响.

主要方法:

采用了近乎实验性的生态研究设计.
利用泰国的国家数据库,涵盖2017年1月至2020年8月.
用中断时间序列分析来评估COVID-19爆发前和后的趋势.

主要成果:

总共分析了381,891例中风患者的入院情况.
血栓性中风是最常见的亚型 (76.56%),其次是出血性 (19.15%) 和栓塞性 (4.29%).
随着COVID-19的爆发,血栓性中风 (系数 -2.412,p<0.001) 和出血性中风 (系数 -0.803,p=0.023) 的发病率显著降低.

结论:

COVID-19疫情对血栓性和出血性中风的住院人数产生了显著的负面影响.
脑卒中入院趋势因COVID-19大流行而发生变化.
调查结果强调了在公共卫生紧急情况期间对中风入院的持续监测的必要性.

关键词:

在 COVID-19 疫情中,血栓塞栓是什么意思血栓塞栓这是一个出血性出血.发生率的发生率.这是一种血栓性血栓性疾病.

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